title: Mortality impact of thoracic aortic disease in São Paulo state from 1998 to 2007.
abstract: BACKGROUND
  The epidemiological characteristics of thoracic aortic diseases (TAD) in the State of São Paulo and in Brazil, as well as their impact on the survival of these patients have yet to be analyzed.
  
  
  OBJECTIVE
  To evaluate the mortality impact of TAD and characterize it epidemiologically.
  
  
  METHODS
  Retrospective analysis of data from the public health system for the TAD registry codes of hospitalizations, procedures and deaths, from the International Code of Diseases (ICD-10), registered at the Ministry of Health of São Paulo State from January 1998 to December 2007.
  
  
  RESULTS
  They were 9.465 TAD deaths, 5.500 men (58.1%) and 3.965 women (41.9%); 6.721 dissections (71%) and 2.744. aneurysms. In 86.3% of cases the diagnosis was attained during autopsy. There were 6.109 hospitalizations, of which 67.9% were males; 21.2% of them died (69% men), with similar proportions of dissection and aneurysm between sexes, respectively 54% and 46%, but with different mortality. Men with TAD die more often than women (OR = 1.5). The age distribution for deaths and hospitalizations was similar with predominance in the 6th decade. They were 3.572 surgeries (58% of hospitalizations) with 20.3% mortality (patients kept in clinical treatment showed 22.6% mortality; p = 0.047). The number of hospitalizations, surgeries, deaths of in-patients and general deaths by TAD were progressively greater than the increase in population over time.
  
  
  CONCLUSIONS
  Specific actions for the early identification of these patients, as well as the viability of their care should be implemented to reduce the apparent progressive mortality from TAD seen among our population.
authors.forename: Ricardo Ribeiro
authors.initials: RR
authors.lastname: Dias
authors.forename: Omar Asdrubal Vilca
authors.initials: OA
authors.lastname: Mejia
authors.forename: Fábio
authors.initials: F
authors.lastname: Fernandes
authors.forename: Félix José Alvarez
authors.initials: FJ
authors.lastname: Ramires
authors.forename: Charles
authors.initials: C
authors.lastname: Mady
authors.forename: Noedir Antonio Groppo
authors.initials: NA
authors.lastname: Stolf
authors.forename: Fabio Biscegli
authors.initials: FB
authors.lastname: Jatene
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000401:mortality / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000145:classification / Q000401:mortality / Q000601:surgery; D001018:Aortic Diseases / Q000145:classification / Q000401:mortality*; D001938:Brazil / Q000453:epidemiology; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000706:statistics & numerical data*; D015995:Prevalence; D012189:Retrospective Studies